Individual
HAILEE KVIDERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6224 LAFAYETTE ST, NEW PORT RICHEY, FL 34652-2626
(727) 835-6798
(727) 777-6884
Mailing address
7231 BOX ELDER DR, PORT RICHEY, FL 34668-6972
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11037532
FL
Other
Enumeration date
02/25/2025
Last updated
06/26/2025
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